Department

Sendouts:                    ARUP  3005839                           11/14/2022

Collect

Whole blood or bone marrow in lavender (EDTA).

Specimen Preparation

Whole blood: Transport 5 mL whole blood. (Min: 3 mL)
Bone marrow: Transport 3 mL bone marrow. (Min: 1 mL)
Refrigerate immediately. Specimens must be received within 48 hours of collection due to lability of RNA.

Storage/Transport Temperature

Refrigerated.

Unacceptable Conditions

Serum, plasma, extracted DNA, CSF, FFPE tissue, ambient whole blood, or frozen whole blood or bone marrow.
Specimens collected in anticoagulants other than EDTA. Severely hemolyzed or clotted specimens.
Ambient bone marrow specimens past 7 days will be canceled.
Refrigerated whole blood or bone marrow specimens past 7 days will be canceled.

Stability (from collection to initiation)

Ambient: Unacceptable; Refrigerated: 48 hours; Frozen: Unacceptable

Performed

Varies

Referral Lab

Ordering Recommendations

This qualitative screening test is appropriate for initial diagnosis of chronic myeloid leukemia (CML) or acute lymphoblastic leukemia/lymphoma (ALL). Use to detect the presence of p210 (major breakpoint), p190 (minor breakpoint), and p230 (micro breakpoint) fusions. If a common p210 or p190 BCR::ABL1 fusion transcript is detected, the appropriate test will be added to provide a quantitative value, which may be used as the diagnostic baseline to further monitor treatment response.For patients with a known history of p210 or p190 fusion transcripts, refer to Quantitative Detection of BCR::ABL1, Major Form (p210) (3005840) or Quantitative Detection of BCR::ABL1, Minor Form (p190)​​​​​​​ (3016968). These two tests are the appropriate tests to monitor therapeutic response and to detect minimal residual disease (MRD). Low-level residual disease might not be detected by inappropriate use of this screening/diagnostic assay.

Methodology

Reverse Transcription Polymerase Chain Reaction

Reported

7-10 days

Synonyms

  • t(9;22) by qualitative RT-PCR
  • Philadelphia chromosome bone marrow/blood
  • p210, p190 and p230
  • CML qualitative RT-PCR
  • BCR::ABL1
  • LAB8044
  • BCR ABL
  • 3005839
  • BCR-ABL1

Additional Technical Information

Notes

This reflex assay is recommended when the BCR::ABL1 fusion form is not known or unclear. This reflex assay detects the presence of either the p210 (major breakpoint), p190 (minor breakpoint), or p230 (micro breakpoint). If the presence of either the common p210 or p190 BCR::ABL1 fusion is detected, then the appropriate quantitative test will be performed. Additional charges apply.

If the fusion form is known, refer to Quantitative Detection of BCR::ABL1, Major Form (p210) (ARUP test code 3005840) or Quantitative Detection of BCR::ABL1, Minor Form (p190) (ARUP test code 3016968).

Remarks

This qualitative screening test is appropriate for initial diagnosis of chronic myeloid leukemia (CML) or acute lymphoblastic leukemia/lymphoma (ALL).

For patients with a known history of p210 or p190 fusion transcripts, refer to Quantitative Detection of BCR::ABL1, Major Form (p210) (ARUP test code 3005840) or Quantitative Detection of BCR::ABL1, Minor Form (p190) (ARUP test code 3016968).

Interpretive Data

Refer to report.

CPT Codes

81206; 81207; 81208; If reflexed, add 81206 or 81207

LOINC

  • 31208-2
  • 21821-4

Performing Lab

ARUP Laboratories
Collection

Department

Sendouts:                    ARUP  3005839                           11/14/2022

Collect

Whole blood or bone marrow in lavender (EDTA).

Specimen Preparation

Whole blood: Transport 5 mL whole blood. (Min: 3 mL)
Bone marrow: Transport 3 mL bone marrow. (Min: 1 mL)
Refrigerate immediately. Specimens must be received within 48 hours of collection due to lability of RNA.

Storage/Transport Temperature

Refrigerated.

Unacceptable Conditions

Serum, plasma, extracted DNA, CSF, FFPE tissue, ambient whole blood, or frozen whole blood or bone marrow.
Specimens collected in anticoagulants other than EDTA. Severely hemolyzed or clotted specimens.
Ambient bone marrow specimens past 7 days will be canceled.
Refrigerated whole blood or bone marrow specimens past 7 days will be canceled.

Stability (from collection to initiation)

Ambient: Unacceptable; Refrigerated: 48 hours; Frozen: Unacceptable

Performed

Varies

Referral Lab

Ordering

Ordering Recommendations

This qualitative screening test is appropriate for initial diagnosis of chronic myeloid leukemia (CML) or acute lymphoblastic leukemia/lymphoma (ALL). Use to detect the presence of p210 (major breakpoint), p190 (minor breakpoint), and p230 (micro breakpoint) fusions. If a common p210 or p190 BCR::ABL1 fusion transcript is detected, the appropriate test will be added to provide a quantitative value, which may be used as the diagnostic baseline to further monitor treatment response.For patients with a known history of p210 or p190 fusion transcripts, refer to Quantitative Detection of BCR::ABL1, Major Form (p210) (3005840) or Quantitative Detection of BCR::ABL1, Minor Form (p190)​​​​​​​ (3016968). These two tests are the appropriate tests to monitor therapeutic response and to detect minimal residual disease (MRD). Low-level residual disease might not be detected by inappropriate use of this screening/diagnostic assay.

Methodology

Reverse Transcription Polymerase Chain Reaction

Reported

7-10 days

Synonyms

  • t(9;22) by qualitative RT-PCR
  • Philadelphia chromosome bone marrow/blood
  • p210, p190 and p230
  • CML qualitative RT-PCR
  • BCR::ABL1
  • LAB8044
  • BCR ABL
  • 3005839
  • BCR-ABL1

Additional Technical Information

Notes

This reflex assay is recommended when the BCR::ABL1 fusion form is not known or unclear. This reflex assay detects the presence of either the p210 (major breakpoint), p190 (minor breakpoint), or p230 (micro breakpoint). If the presence of either the common p210 or p190 BCR::ABL1 fusion is detected, then the appropriate quantitative test will be performed. Additional charges apply.

If the fusion form is known, refer to Quantitative Detection of BCR::ABL1, Major Form (p210) (ARUP test code 3005840) or Quantitative Detection of BCR::ABL1, Minor Form (p190) (ARUP test code 3016968).

Remarks

This qualitative screening test is appropriate for initial diagnosis of chronic myeloid leukemia (CML) or acute lymphoblastic leukemia/lymphoma (ALL).

For patients with a known history of p210 or p190 fusion transcripts, refer to Quantitative Detection of BCR::ABL1, Major Form (p210) (ARUP test code 3005840) or Quantitative Detection of BCR::ABL1, Minor Form (p190) (ARUP test code 3016968).
Result Interpretation

Interpretive Data

Refer to report.

Administrative

CPT Codes

81206; 81207; 81208; If reflexed, add 81206 or 81207

LOINC

  • 31208-2
  • 21821-4

Performing Lab

ARUP Laboratories